Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | PSY27304 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY27304 | CA |
NPI | 1043453012 |
---|---|
Provider Name | Dr. Andrew Christopher Kami |
First Address | Long Beach, CA 90805-2162 |
Second Address | Long Beach, CA 90805-2162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 02/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7184 | MEDI-CAL (01) | CA |
7368 | MEDI-CAL (01) | CA |
7667 | MEDI-CAL (01) | CA |
7708 | MEDI-CAL (01) | CA |